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#3345 of 11K

K0800

HCPCS Procedure Code

HCPCS code K0800 is the #3,345 most-billed Medicaid procedure code, with $1.9M in payments across 17K claims from 2018–2024. The national median cost per claim is $221.09. Costs vary widely — the 90th percentile is $791.33 per claim, 3.6× the median.

Total Paid

$1.9M

0.00% of all spending

Total Claims

17K

Providers

44

Avg Cost/Claim

$110

National Cost Distribution

How much do providers bill per claim for K0800? Based on 43 providers billing this code nationally.

Median

$221.09

Average

$303.18

Std Dev

$322.78

Max

$1,228.13

Percentile Distribution (Cost per Claim)

p10
$27.13
p25
$52.14
Median
$221.09
p75
$367.79
p90
$791.33
p95
$1,121.63
p99
$1,204.59

50% of providers bill between $52.14 and $367.79 per claim for this code.

90% bill between $27.13 and $791.33.

Top 1% bill above $1,204.59.

About This Procedure

HCPCS code K0800 was billed by 44 providers across 17K claims, totaling $1.9M in Medicaid payments from 2018–2024. This code was used for 16K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$221.09

Providers Billing

43

National Spending

$1.9M

Avg/Median Ratio

1.37×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for K0800

#ProviderTotal Paid
11477594877$380K
21225001894$261K
31407894348$253K
4Med Star Surgical & Breathing Equipment Inc.

Bronx, NY · Prosthetic/Orthotic Supplier

$249K
51841263621$151K
61457396376$78K
71053384990$61K
81780663823$51K
91023096104$42K
101538576509$41K
111144458209$40K
121205837879$29K
131013224112$28K
141447567334$25K
151861576282$22K
161588603492$17K
171972576528$17K
181235102179$15K
191457474157$12K
201568442283$11K

Showing top 20 of 44 providers billing this code